Organization
AYALA CHILD & ADOLESCENT PSYCHIATRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR AYALA M.D. (PRESIDENT)
(800) 943-1817
Entity
Organization
Contact information
Practice address
2301 E EVESHAM RD, SUITE 304, VOORHEES, NJ 08043-4501
(800) 943-1817
(800) 943-1817
Mailing address
31 W 6TH AVE, RUNNEMEDE, NJ 08078-1315
(800) 943-1817
(800) 943-1817
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25MA08727400
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
25MA08727400
NJ
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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